Unokuthi okanye awuzange ulive i-buzz malunga nokusetyenziswa kwe-ketogenic yokutya ngenxa yesifo sengqondo se-brit ( syndrome ). Ukutya kwe-ketogenic kukutya okuqinileyo okwakusungulwa njengonyango lokuhluthwa. Ngenxa yokuba ukhetho lwe-IBS lunokuthi lube luncipha, abantu abanenkinga bahlala bezama iindlela ezifanelekileyo njengendlela yokujongana neempawu kwaye oku kunokubandakanya ukwenza utshintsho oluthile lokutya.
Kule ngqungquthela, uya kufunda okokutya kokutya kwe-ketogenic kwaye nokuba awukho into ekhuselekileyo okanye eyincedo ukuba ucinge ngokuzama i-IBS yakho.
Yintoni i-Ketogenic Diet?
Ukondla kwe-ketogenic kakhulu, i-carbohydrate ephantsi kakhulu, i-fat fat, high protein diet. Ukutya kufuneka kusetyenziswe kuphela phantsi kweliso lugqirha kunye nenkxaso kunye nesikhokelo se-dietitian.
Ukutya kwasekuqaleni kwenzelwe unyango lokuthwala, kwaye kukho uphando oluninzi lokubonisa ukuba unako ukunciphisa umsebenzi wokubamba abantu abanentsholongwane. Uphando malunga nokutya lwandiswa kwimeko yokunyanya ukugqithisa kwaye kuphinda kwakhona uphando lubonakalise ukuba kunokutya okusebenzayo ekulahlekeni kwesisindo. Ukusetyenziswa kwesondlo se ketogenic njengonyango olusebenzayo kwezinye iingxaki zempilo okwangoku.
Yintoni i-Ketosis?
Ukuqonda kakuhle indlela ukutya kwe-ketogenic kusebenza ngayo, unokufuna ukuhlaziya i-biology yomzimba wakho ukuze ufumane ukuqonda okusemgangathweni kwimeko yomzimba ebizwa ngokuthi i-ketosis.
Ngokuqhelekileyo imizimba yethu isebenzisa i-carbohydrates yamandla. Xa sizila ukutya okanye silandele ukutya okunomdla kakhulu wee-carbohydrate iintsuku ezimbalwa, imizimba yethu iphuma kwi-glucose egciniweyo kwaye iyanyanzelekile ukuba iphendule kwiinqwelo zeoli. Oku kufezwe yimveliso yento ebizwa ngokuba ngamagumbi e-ketone. Amanqanaba okufumaneka kwezi ketoni anokulinganiswa ngokuvavanya umchamo wakho, igazi okanye ukuphefumla.
Xa i-ketone ikhona, umzimba uthathwa kwimeko ye-ketosis kwaye ibonisa ukuba umzimba wakho ngoku ufumana amandla ayo kumafutha esikhundleni se-carbohydrate.
Kwixesha elidlulileyo, i-ketosis ithathwa ngokuba yinkcubeko yezempilo ukuba ixhalabele. Nangona kunjalo, imbono yangoku kukuba i-ketosis emnene ayikho nje ingozi, kodwa mhlawumbi inokufumana inzuzo yezempilo.
Iingxaki zeMpilo ezinokunceda
Njengoko kuchazwe ngasentla, kukho imimandla emibini apho kukho inkxaso enzulu yophando malunga nokusebenza kokutya kweetogenic:
1. Ukuhluthwa: Ukusebenza kwe-ketogenic yokutya kuye kwaxhaswa uphando ukususela ngowe-1920, kunye nophando oluphambili oluhlolisisa ukutya ekusebenzisaneni nabantwana. Nangona kunjalo, kukho ubungqina obuninzi bokuthi lunokusebenza kubantu abadala abanesithuthwane. Ngokuqhelekileyo ukutya kusetshenziselwa kunye neyeza zokulwa ne-anti-seizure. Uphando luye lwabonisa ukuba abantu abaninzi abazama ukutya banokunciphisa ukuphindwa kwamatye. Kwipesenti encinci, ukutya kusebenza kakuhle kangangokuthi bayabanjwa ngokupheleleyo. Kwiqela elincinci, ukutya kusebenza ngakumbi kunamachiza okulwa noxinzelelo.
2. Ukunyameka kwesisindo: Kukho uphando olunzulu lwekliniki ukubonisa ukuba izidlo ze-ketogenic ziyasebenza ekulahlekeni kwesisindo.
Kodwa abaphandi abazi ukuba ukulahleka kwesisindo kubakho ngenxa yokukhawulwa kwekhalori okanye ukuba kwenzeka ntoni ngenxa yesithintelo se-carbohydrate. Kukho uphando lokubonisa ukuba isithintelo se-carbohydrate yedwa sinokusebenza ngokulahleka kwesisindo. Ukuthintela i-carbohydrate kungaphinde kuphucule iimpawu zesifo se- metabolism (ngaphambi kwesifo sikashukela), uhlobo lwesifo sikashukela, kunye nesifo senhliziyo. Ukuba uyazibuza ukuba ukutya okuninzi okunamafutha kunokubangela ukuba uzuze ubunzima, kukho ubungqina obuninzi bokuthi "ioli" yakudala iyicingca.
Kweminye ingxaki zempilo, uphando lukwinqanaba eliphambili. Ngeli nqanaba, akukho zigqibo eziqinileyo ezinokubanjwa.
Ukutya kwe ketogenic kuhlolwa njengonyango kule miqathango yempilo elandelayo:
- Acne
- Isifo se-Alzheimer
- I-Amyotrophic lateral sclerosis
- Autism
- Ukuxhuzula
- Ukulimala kwengqondo
- Cancer
- Intloko
- Isifo sokugubhuka
- Isifo sikaParkinson
- I-Polycystic ovary syndrome
- Iingxaki zokulala
Mngcipheko
Abaphandi bakholelwa ukuba ukutya kwe ketogenic kukutya okukhuselekileyo ngokubanzi, kodwa ukulawulwa kwezonyango kuyafaneleka. Kukho iinkxalabo malunga nemiphumo yengxaki yeengxaki, kuquka umngcipheko ophezulu weentsi zamatye. Ezinye iindawo ezixhalabisa abantu abalandela ukutya ngexesha elide zibandakanya amanqanaba aphezulu ye-cholesterol yegazi, i-bone fractions, kunye nokukhula okucothayo.
Ngaba isidlo se Ketogenic sinceda i-IBS?
Kuza kubekho, akukho kubonakala ngathi kukho nayiphi na uphando yophando malunga nokutya kwe-ketogenic ye-IBS.
Kukho ingxelo yekliniki enye yokusetyenziswa "kwidlo yehydrohydrate ephantsi kakhulu" (VCLD) kunye nezigulane ezine- diarrhea-ebaluleke kakhulu kwi-IBS (IBS-D). Le nto yayincinane kakhulu, isifundo esifutshane. Abantu aba-13 kuphela abavela kwi-original 17 bazalise isifundo. Iprotocol yokufunwa ifuna ukuba abathathi-nxaxheba balandele iVLCD kwiiveki ezine emva kokulandela ukutya okuqhelekileyo kwiiveki ezimbini. Uninzi lwabathathi-nxaxheba bebathathi-bhinqa kwaye bonke babengaphezu komzimba. Zonke izidlo zanikezelwa kubafundi abathatha inxaxheba kwisifundo seveki ezintandathu. Ngethuba lesigaba seVCLD, ukutya kwakunamafutha angama-51%, iiprotheni ezingama-45% kunye ne-4% ye-carbohydrate. Ngaloo ndlela, oku kutya kwakuquka amanqanaba aphantsi angamafutha kunye namanqanaba eeprotheyini aphezulu kunokuba kubonakala kwi-ketogenic yokutya.
Iziphumo zibonise ukuba bonke abathathi-nxaxheba babike ukukhulula okwaneleyo kweempawu ubuncinane ezimbini kwiiveki ababekuyo kwi-VLCD, kwaye abalishumi kubo babika ukuphucula okwaneleyo kwiiveki ezine zesondlo sokutya. Ukunceda okwaneleyo iimpawu njengemilinganiselo yindlela kuphela impendulo kumbuzo abachaphazelekayo babuzwa omnye ngeveki nganye. Ezinye iziphumo zazibandakanya iingxelo zokunciphisa ukuvama kwesigxina kunye nentlungu kunye nokuphuculwa kuboniswe kwisigxina kunye nomgangatho wobomi.
Ezi ziphumo kufuneka zijongwe njengeyokuqala ngenxa yenani elincinci labathathi-nxaxheba kunye nexesha elifutshane lokufunda. Ukongezelela, kwakungekho liqela lolawulo, ngoko akungaziwa ukuba iziphumo ezilungileyo zivela kumngqamaniso we-carbohydrates okanye kwi-effectbo ye-placebo. Kwakhona ugcine engqondweni ukuba ukutya okufundwayo kwakusondlo lwe-carbohydrate ephantsi kakhulu, kungekukho ukutya kwe-ketogenic, ngoko kunokuba nzima ukwenza izigqibo malunga nokutya kwe-ketogenic. Ekugqibeleni, ku funeka kuqatshelwe ukuba abathathi-nxaxheba banikwe zonke izidlo zabo kwixesha leveki ezintandathu, kungekhona into echazwe lula kwimpilo yangempela.
Yintoni ongayilindela
Isidlo se ketogenic kufanele sithathwe ngokufanelekileyo phantsi kolawulo lugqirha kunye nenkxaso yesondlo. I-dietitian izakuqinisekisa ukuba i-dieter ayilandelanga kuphela izikhokelo zokutya kodwa ukuba zithatha ukutya okwaneleyo. Ezinye iinkqubo zonyango zifuna ukuba uzila ukudla ngaphambi kokuba uqale ukutya, kodwa kungekhona. Inzuzo yokuzila kukuba izisa kwi-ketosis ngokukhawuleza.
I-dietitian ingakufundisa oko kukutya kunye nendlela yokuzilungiselela ukuze ulandele izikhokelo zokutya ngokuchanekileyo. Baya kunika isikhokelo malunga nokuba yiyiphi i-vitamin and mineral supplements okufanele uyenze ukuze wenze abo balahlekelwe ngumqathango wokutya. Izilwanyana ezinconywayo zinconywa kumntu ngesondlo se ketogenic ziquka i-calcium, i-folic acid, insimbi kunye ne-vitamin D.
Ukuba ukhetha ukuya ekudleni, uya kudla ukutya okuninzi kunye nokutya okumbalwa okuqukethe iiprotheni. Ulungiso olukhulu luya kuba yi-carbohydrate ephantsi. Ngenxa yesithintelo se-carbohydrate, unokuziva unxinzekile kwiintsuku zokuqala zokutya. Kubalulekile ukuba ulandele izikhokelo zokutya ngokuchanekileyo. Ukutya kunye nesidlo esinye esingahambelani nezikhokelo kunokunciphisa kakhulu naziphi na izibonelelo onokuzifumana ekudleni.
Ngaphantsi
Okwangoku akukho nangobukhombisi bokuthi ukutya okunomsoco kunokuba luncedo kumntu onayo i-IBS. Ukutya kuyanqanda kwaye kuya kunzima ukulandela. Ngaloo mali yenzame, unokuthi ulunge ngakumbi ngokunikezela ngokutya okuphantsi kwe-FODMAP-ukutya okunokwenza uphando olunzulu lwekliniki ukuxhasa ukuphumelela kwayo kwi-IBS. Ngokutya okuphantsi kwe-FODMAP, kukho ukugxininiswa ekunqandeni i-carbohydrates, kodwa kuphela uhlobo oluthile lwee-carbohydrates, ezibhalwe ngokubanzi njengezi- FODMAP , eziye zachongwa ngokuchanekileyo njengegalelo kwiimpawu ze-IBS.
Ukuba uqinisekile ukuba ungathanda ukunika ukutya kwe-ketogenic zama, qiniseka ukuba uxoxe ngokutya kunye nogqirha wakho ukuqinisekisa ukuba akuyi kuba yingozi kuwe. Uya kufuneka kwakhona ufumane isidlo sesondlo esifanelekileyo kwaye usebenze kunye naloo mntu ukuqinisekisa ukuba zonke iimfuno zakho zondlovu zidibene.
Imithombo:
Austin G, Dalton, C, Yuming H, et al. "I-Low-carbohydrate Diet iphucula kakhulu iMpawu kunye neNqanaba lobomi beDirrhea-i-Irritable Bowel Syndrome" ye- Gritroenterology ne-Hepatology ka- 2009; 7 (6): 706-708.
I-Paoli A, uRubini A, i-Volek JS, iGrimaldi KA. "Ngaphandle kokulahlekelwa kwesisindo: ukuhlaziywa kokusetyenziswa kwezilwanyana ze-carbohydrate kakhulu (i-ketogenic)" I- European Journal ye-Clinical Nutrition 2013; 67 (8): 789-796.
"I-Ketogenic Diet" iwebhusayithi ye-Epilepsy Foundation .